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Arakelian, E., Nyholm, L. & Öster, C. (2019). How Anesthesiologists and Nurse Anesthetists Assess and Handle Patients' Perioperative Worries Without a Validated Instrument. Journal of Perianesthesia Nursing, 34(4), 810-819
Öppna denna publikation i ny flik eller fönster >>How Anesthesiologists and Nurse Anesthetists Assess and Handle Patients' Perioperative Worries Without a Validated Instrument
2019 (Engelska)Ingår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, nr 4, s. 810-819Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

PURPOSE: To study how nurse anesthetists and anesthesiologists assess and handle patients' perioperative anxiety without using a validated instrument.

DESIGN: Qualitative study.

METHODS: Individual in-depth face-to-face interviews were conducted with nurse anesthetists (n = 9) and anesthesiologists (n = 5) from a university hospital in Sweden. Data were analyzed with thematic analysis according to Braun and Clark.

FINDINGS: Two themes were identified: (1) I ask about anxiety, look for visual signs, and observe communication and (2) I handle patients' anxieties individually. In addition to subthemes describing assessment and handling of adults, it appeared that parents played an important role in children's perioperative anxiety.

CONCLUSIONS: When not using a validated instrument, assessing perioperative anxiety is commonly based on the anesthesiologist's and nurse anesthetist's experience, knowledge, views, and attitudes. The evaluator's capability of using different strategies in the assessment and handling of perioperative anxiety is important.

Nyckelord
anesthesiologists, anxiety, evaluation, nurse anesthetists, perioperative
Nationell ämneskategori
Anestesi och intensivvård
Identifikatorer
urn:nbn:se:uu:diva-377057 (URN)10.1016/j.jopan.2018.09.016 (DOI)000477975200020 ()30745079 (PubMedID)
Tillgänglig från: 2019-02-13 Skapad: 2019-02-13 Senast uppdaterad: 2019-09-26Bibliografiskt granskad
Nehlin, C., Wennberg, M. & Öster, C. (2018). How do people with mood and anxiety disorders perceive and interpret the Drinking Motives Questionnaire?: A think-aloud study in a clinical setting. Addiction science & clinical practice, 13, Article ID 7.
Öppna denna publikation i ny flik eller fönster >>How do people with mood and anxiety disorders perceive and interpret the Drinking Motives Questionnaire?: A think-aloud study in a clinical setting
2018 (Engelska)Ingår i: Addiction science & clinical practice, ISSN 1940-0632, E-ISSN 1940-0640, Vol. 13, artikel-id 7Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Research has identified drinking motives as the final common pathway to alcohol use, and associations between specific drinking motives and drinking patterns have consistently been demonstrated. Data on drinking motives can be used for research, in the planning of prevention strategies and for treatment purposes. The Drinking Motives Questionnaire-Revised (DMQ-R) has become the most used measure of drinking motives. So far, the questionnaire has not been investigated with qualitative methods. The aim of this study was to investigate acceptability, accuracy and usability of the DMQ-R among persons receiving outpatient psychiatric care by studying how responders perceive and interpret the questionnaire.

Method: A cognitive interviewing technique, the think-aloud method, was used to collect data from 16 non-alcohol dependent patients seeking outpatient psychiatric care (12 women, 4 men). To analyse data, Qualitative Content Analysis was applied in which themes were formed from data only and not from predetermined areas of interest.

Results: Overall, acceptability of the DMQ-R was high although answers were sometimes given with low accuracy. Responders pointed out that they perceived the questionnaire as non-confrontational and exhaustive. Further, the DMQ-R seemed to launch processes of self-reflection.

Conclusions: Taken together, the results suggest a support for the use of DMQ-R also in the group of psychiatric outpatients. Still, when interpreting the DMQ-R, a certain insecurity of the exactness of answers should be considered. The graphic design should be particularly clear in this group of patients.

Ort, förlag, år, upplaga, sidor
BIOMED CENTRAL LTD, 2018
Nyckelord
Questionnaires, Drinking motives, DMQ-R, Think-aloud method, Psychiatric care
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:uu:diva-351435 (URN)10.1186/s13722-018-0109-1 (DOI)000427779900001 ()29534735 (PubMedID)
Tillgänglig från: 2018-06-01 Skapad: 2018-06-01 Senast uppdaterad: 2018-06-01Bibliografiskt granskad
Salberg, J., Folke, F., Ekselius, L. & Öster, C. (2018). Nursing staff-led behavioural group intervention in psychiatric in-patient care: Patient and staff experiences. International Journal of Mental Health Nursing, 27(5), 1401-1410
Öppna denna publikation i ny flik eller fönster >>Nursing staff-led behavioural group intervention in psychiatric in-patient care: Patient and staff experiences
2018 (Engelska)Ingår i: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, nr 5, s. 1401-1410Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

A promising intervention in mental health in-patient care is behavioural activation (BA). Interventions based on BA can be used by mental health nurses and other staff members. The aim of this study was to evaluate patients' and staff members' experiences of a nursing staff-led behavioural group intervention in mental health in-patient care. The intervention was implemented at three adult acute general mental health in-patient wards in a public hospital setting in Sweden. A self-administrated questionnaire, completed by 84 patients and 34 nurses and nurse assistants, was administered, and nonparametric data analysed using descriptive statistics. Our findings revealed that both patients and nursing staff ranked nursing care and care environment as important aspects in the recovery process. Patients and staff members reported overall positive experiences of the group sessions. Patients with higher frequencies of attendance and patients satisfied with overall care had a more positive attitude towards the intervention. A more positive experience of being a group leader was reported by staff members who had been leading groups more than ten times. The most common impeding factor during implementation, reported by staff members, was a negative attitude to change. Conducive factors were having support from a psychologist and the perception that patients were showing interest. These positive experiences reported by patients and nursing staff, combined with previous research in this field, are taking us one step further in evaluating group sessions based on BA as a meaningful nursing intervention in mental health in-patient care.

Nyckelord
behavioural activation, evaluation, group intervention, mental health care, nursing
Nationell ämneskategori
Omvårdnad Psykiatri
Identifikatorer
urn:nbn:se:uu:diva-364165 (URN)10.1111/inm.12439 (DOI)000443391700009 ()29446512 (PubMedID)
Tillgänglig från: 2018-10-29 Skapad: 2018-10-29 Senast uppdaterad: 2018-11-16Bibliografiskt granskad
Arakelian, E., Laurssen, E. & Öster, C. (2018). Older Patients' Worries in Connection With General Anesthesia and Surgery - A Qualitative Study. Journal of Perianesthesia Nursing, 33(6), 822-833
Öppna denna publikation i ny flik eller fönster >>Older Patients' Worries in Connection With General Anesthesia and Surgery - A Qualitative Study
2018 (Engelska)Ingår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, nr 6, s. 822-833Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: To examine anxiety and what older patients worry about related to anesthesia and colorectal surgery, and their perceptions regarding nurses' ability to ease preoperative worry.

Design: Qualitative individual face-to-face interviews.

Methods: The study included 18 patients aged between 62 and 91 years with lower abdominal tumors. The study was conducted in two day-surgery wards in Sweden. Interview data were analyzed with Malterud's systematic text condensation.

Findings: Four themes were identified: (1) losing control of one's body, leaving one's life in someone else's hands, and the feeling that there is no going back, (2) claustrophobia and anticipated pain in an unknown environment, (3) unknown and frightening vocabulary concerning the surgery, and (4) what can happen if something goes wrong.

Conclusions: Patients worry about a number of things. If preoperative worry could be identified, actions taken to reduce worry could be personalized and patients' own strategies to reduce worries may be helpful for them.

Ort, förlag, år, upplaga, sidor
ELSEVIER SCIENCE INC, 2018
Nyckelord
nursing, patients' experiences, preoperative, qualitative study, anxiety, assessment
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:uu:diva-371127 (URN)10.1016/j.jopan.2018.01.005 (DOI)000450368000006 ()29548667 (PubMedID)
Tillgänglig från: 2018-12-19 Skapad: 2018-12-19 Senast uppdaterad: 2018-12-19Bibliografiskt granskad
Nehlin, C., Carlsson, K. & Öster, C. (2018). Patients' Experiences of Using a Cellular Photo Digital Breathalyzer for Treatment Purposes. Journal of addiction medicine, 12(2), 107-112
Öppna denna publikation i ny flik eller fönster >>Patients' Experiences of Using a Cellular Photo Digital Breathalyzer for Treatment Purposes
2018 (Engelska)Ingår i: Journal of addiction medicine, ISSN 1932-0620, E-ISSN 1935-3227, Vol. 12, nr 2, s. 107-112Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives: The field of eHealth systems is rapidly developing and is now expanding into alcohol treatment settings. Despite a growing public and professional interest, cellular photo digital breathalyzers (CPDBs) have not been investigated in a clinical context so far. In this study, we aimed to investigate the experiences of patients in alcohol treatment who had been using a CPDB—TripleA- for a minimum of three months. What are their personal experiences of using the CPDB? Do the patients think it supports them to change their drinking habits, and if so, in what way?

Methods: A qualitative interview study with individuals who had been using the CPDB TripleA, for at least 3 months as complement to treatment (12-step program or hospital-based outpatient care). A thematic analysis with an inductive approach was used to identify, analyze, and interpret patterns within data.

Results: In all, 12 interviews were conducted with 8 men and 4 women. Participants were generally enthusiastic about the CPDB and found it convenient and useful, even though it created a need for privacy when using the device. Although technical problems were substantial, participants were tolerant to those. The system was perceived to support self-control and to restore relations, but did not replace the need for close contact with caregivers. Self-motivation to change drinking habits was essential, and could not be reached by solely using the CPDB.

Conclusions: Participants perceived the CPDB as a convenient and useful tool that was supportive under the circumstances that it was used in a context that included personal contact with a caregiver; and the user felt more than just a minimum of motivation to reduce drinking. Technical stability needs to be achieved to secure long-term use.

Nyckelord
alcohol treatment, cellular photo digital breathalyzers, motivation, patients' experiences, qualitative, remote BAC monitoring
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:uu:diva-351090 (URN)10.1097/ADM.0000000000000373 (DOI)000427987500004 ()29176448 (PubMedID)
Forskningsfinansiär
VINNOVA
Tillgänglig från: 2018-05-18 Skapad: 2018-05-18 Senast uppdaterad: 2018-05-18Bibliografiskt granskad
Hammarberg, A., Öster, C. & Nehlin, C. (2017). Drinking motives of adult patients seeking treatment for problematic alcohol use. Journal of Addictive Diseases, 36(2), 127-135
Öppna denna publikation i ny flik eller fönster >>Drinking motives of adult patients seeking treatment for problematic alcohol use
2017 (Engelska)Ingår i: Journal of Addictive Diseases, ISSN 1055-0887, E-ISSN 1545-0848, Vol. 36, nr 2, s. 127-135Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The Drinking Motives Questionnaire measures motives for alcohol consumption on four subscales. Coping with negative affect and enhancement of positive affect have been shown to be associated with high levels of alcohol consumption and alcohol-related problems. Few studies exist concerning drinking motives among treatment-seeking patients. The aims of the study were to investigate the factor structure of the shortened-form of the revised Drinking Motives Questionnaire, map main drinking motives, explore group differences in motives due to sex, age, level of drinking problems, and symptoms of depression/anxiety and to investigate whether different drinking motives predict alcohol-related problems in this group. There were 274 treatment-seeking patients recruited from four addiction treatment clinics in Sweden. The shortened-form of the revised Drinking Motives Questionnaire was administered in conjunction with a regular visit to the clinics together with measures of degree of alcohol-related problems, psychiatric symptoms, and demographic factors. Main drinking motives were identified. A confirmatory factor analysis was run to confirm the factor structure of the shortened-form of the revised Drinking Motives Questionnaire. A logistic regression using the Enter method was performed to investigate associations between predictors and Alcohol Use Disorder Identification Test scores. The results confirmed the four-factor structure reported in studies on non-treatment-seeking individuals. Coping was the most commonly expressed motive. Not previously found in a clinical sample, the results showed that coping motives, together with being male and having elevated anxiety scores, were associated to Alcohol Use Disorder Identification Test scores indicative of alcohol dependence. The shortened-form of the revised Drinking Motives Questionnaire is a brief and valid instrument that holds potential for clinical use in mapping drinking motives among treatment seekers.

Nyckelord
DMQ-R-SF, Motives for drinking, alcohol dependence, coping, treatment seekers
Nationell ämneskategori
Psykiatri
Forskningsämne
Psykiatri
Identifikatorer
urn:nbn:se:uu:diva-321377 (URN)10.1080/10550887.2017.1291052 (DOI)000399659500005 ()28166486 (PubMedID)
Tillgänglig från: 2017-05-03 Skapad: 2017-05-03 Senast uppdaterad: 2017-05-19Bibliografiskt granskad
Öster, C., Arinell, H. & Nehlin, C. (2017). The Drinking Motives Questionnaire among Swedish psychiatric patients: An exploration of the four-factor structure. Drug and Alcohol Review, 36(3), 400-407
Öppna denna publikation i ny flik eller fönster >>The Drinking Motives Questionnaire among Swedish psychiatric patients: An exploration of the four-factor structure
2017 (Engelska)Ingår i: Drug and Alcohol Review, ISSN 0959-5236, E-ISSN 1465-3362, Vol. 36, nr 3, s. 400-407Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction and Aims: Alcohol use above hazardous limits is common among persons with psychiatric disorders, and there is limited knowledge about motives for drinking. The objective of this study was to explore the adequacy of the four-factor structure of drinking motives in an adult psychiatric outpatient population in Sweden by confirming the factor structure in the Drinking Motives Questionnaire (DMQ-R) and in alternative models.

Design and Methods: In total, 371 patients responded to the DMQ-R along with the Alcohol Use Disorders Identification Test (AUDIT). AUDIT was used to assess frequency of alcohol consumption, number of drinks consumed on a typical occasion and binge drinking frequency. Confirmatory factor analysis was used to examine the construct validity of the DMQ-R and alternative models, including the short form, DMQ-R SF.

Results: Fit statistics suggested that the original four-factor model had questionable fit (root mean square error of approximation [RMSEA]=0.10, comparative fit index [CFI]=0.89, standardised root mean square residual [SRMR]=0.08). The model with the best fit indices was the DMQ-R SF (RMSEA=0.07, CFI=0.97, SRMR=0.04). When using DMQ-R SF in further analyses enhancement, the most strongly endorsed motives were related to quantity and AUDIT sum score. Coping motives were most strongly related to AUDIT sum score, frequency and binge drinking. Social motives were only related to binge drinking, whereas conformity motives were not statistically associated with any motives.

Discussion and Conclusions: The study implies that the 12-item short form, DMQ-R SF, could be more appropriate than the original DMQ-R in this group.

Nationell ämneskategori
Medicin och hälsovetenskap
Forskningsämne
Psykiatri
Identifikatorer
urn:nbn:se:uu:diva-310964 (URN)10.1111/dar.12421 (DOI)000401238500015 ()27288296 (PubMedID)
Tillgänglig från: 2016-12-20 Skapad: 2016-12-20 Senast uppdaterad: 2017-06-22Bibliografiskt granskad
Gauffin, E., Öster, C., Sjöberg, F., Gerdin, B. & Ekselius, L. (2016). Health-related quality of life (EQ-5D) early after injury predicts long-term pain after burn. Burns, 42(8), 1781-1788
Öppna denna publikation i ny flik eller fönster >>Health-related quality of life (EQ-5D) early after injury predicts long-term pain after burn
Visa övriga...
2016 (Engelska)Ingår i: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 42, nr 8, s. 1781-1788Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Chronic pain after burn can have severe physical and psychological effects on former patients years after the initial injury. Although the issue of pain after burn has gained increased attention over the past years, prospective, longitudinal studies are scarce. Our aim was to prospectively investigate consecutive burn patients for pain severity over time and to evaluate the prevalence and characteristics of post-burn pain to 2-7 years after the burn. As an additional aim, the effects of burn and individual-related factors, especially health related Quality of Life (HRQoL), were investigated.

Method: Sixty-seven consecutive burn patients were assessed during acute care at 3, 6, 12 and 24 months, as well as at 2-7 years post-burn. HRQoL, symptoms of post-traumatic stress disorder (PTSD) and other psychiatric disorders were investigated. During the interviews that took place 2-7 years after the injury (mean 4.6 1.9 years), current chronic post-burn pain was assessed using the Brief Pain Inventory-Short Form (BPI-SF).

Results: One-third of the patients still reported pain 2-7 years after the injury. Pain severity and interference with daily life were mainly mild to moderate though they were found to be associated with significantly lower HRQoL. Chronic pain after bum was associated with both burn- and individual-related factors. In logistic regression analysis HRQoL at 3 and 12 months and symptoms of PTSD at 12 months were independent factors in predicting chronic pain after burn.

Conclusion: Pain after burn becomes a chronic burden for many former burn patients and decreases HRQoL. A novel finding in this study was that HRQoL assessed early after burn was a predictor for the development of chronic pain. This finding may help to predict future pain problems and serve as an indicator for pain preventive measures.

Nyckelord
Burns, Pain, Brief Pain Inventory-Short Form, Health-related quality of life, Post-traumatic stress disorder
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:uu:diva-314419 (URN)10.1016/j.burns.2016.05.016 (DOI)000391073900021 ()
Forskningsfinansiär
VetenskapsrådetForte, Forskningsrådet för hälsa, arbetsliv och välfärd
Tillgänglig från: 2017-02-06 Skapad: 2017-02-02 Senast uppdaterad: 2019-04-12Bibliografiskt granskad
Sveen, J. & Öster, C. (2015). Alcohol Consumption After Severe Burn: A Prospective Study. Psychosomatics, 56(4), 390-396
Öppna denna publikation i ny flik eller fönster >>Alcohol Consumption After Severe Burn: A Prospective Study
2015 (Engelska)Ingår i: Psychosomatics, ISSN 0033-3182, E-ISSN 1545-7206, Vol. 56, nr 4, s. 390-396Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background

The number of patients with alcohol-related burns admitted to burn units has increased. It has been reported previously that alcohol-related burns are an indicator of alcohol dependence, but there are few studies addressing alcohol use several years after burn injury.

Objective

To investigate alcohol consumption 2–7 years after burn injury and to examine possible contributing factors.

Methods

Consecutive adult patients with burns (n = 67) were included during hospitalization, and an interview was performed at 2–7 (mean = 4.6) years after burn. Data assessed at baseline were injury characteristics, sociodemographic variables, coping, and psychiatric disorders. At follow-up, the Alcohol Use Disorders Identification Test was used to identify at-risk drinking.

Results

Overall, 22% of the burns were alcohol-related; however, this was not associated with at-risk drinking at follow-up. Of the former patients with burns, 17 (25%) were identified as having an at-risk drinking pattern at follow-up. One item in the Coping With Burns Questionnaire used in acute care, “I use alcohol, tobacco or other drugs to be able to handle my problems”, was the only factor found to predict an at-risk drinking pattern several years after injury.

Conclusion

There were more at-risk drinkers in this burn population as compared with in the general population. The results indicate that an avoidant coping pattern, including the use of alcohol to handle problems, can be considered a potentially modifiable factor.

Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:uu:diva-244755 (URN)10.1016/j.psym.2014.05.019 (DOI)000356626100009 ()25553819 (PubMedID)
Forskningsfinansiär
Vetenskapsrådet, 2007-5918-47607-66
Tillgänglig från: 2015-02-20 Skapad: 2015-02-20 Senast uppdaterad: 2017-12-04Bibliografiskt granskad
Ekeblad, F., Gerdin, B. & Öster, C. (2015). Impact of personality disorders on health-related quality of life one year after burn injury. Disability and Rehabilitation, 37(6), 534-540
Öppna denna publikation i ny flik eller fönster >>Impact of personality disorders on health-related quality of life one year after burn injury
2015 (Engelska)Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, nr 6, s. 534-540Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: Personality disorders (PDs) are associated with significant distress, disability, and cause great difficulties in life. PDs have been suggested to influence adaptation after major burns, but the potential relationship has not been fully elucidated. This study aimed to describe the prevalence of PDs in 107 patients with major burn injury, and to identify the impact of PDs on perceived patient outcome assessed as health-related quality of life (HRQoL) one year after burn. Methods: One burn-specific instrument (Burn Specific Health Scale-Brief (BSHS-B)) and two generic instruments (EuroQol Five Dimensions and Short Form 36 Health Survey) were used, and Psychiatric Axis I and II disorders were assessed one year post burn. Results: This study identified an above normal prevalence of PDs among individuals afflicted by burn, and participants with PD had a significantly larger lifetime burden of Axis I disorders compared to participants without PD. Participants with PDs scored significantly lower than those without PD in the BSHS-B domain Skin involvement, and the effect of having a PD was related to the subscale Treatment regimens. There was no relationship between the presence of PD and generic HRQoL. Conclusions: An implication of these observations is that special rehabilitation efforts including more tailored interventions must be offered to these patients to ensure that the obstacles they perceive to caring for themselves in this respect are eliminated.

Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:uu:diva-244770 (URN)10.3109/09638288.2014.933898 (DOI)000351007500008 ()24963942 (PubMedID)
Tillgänglig från: 2015-02-20 Skapad: 2015-02-20 Senast uppdaterad: 2017-12-04Bibliografiskt granskad
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